Abstract | PURPOSE: No optimal, well designed and reproducible animal model for upper urothelial carcinogenesis exists. This study characterized the histopathological features on top of immunolocalization of alpha- dystroglycans (alpha-DG) and matrix metalloproteinase (MMP-9) and cell turn-over in the upper urinary tract using a novel experimental model. METHODS: Seventy-five female Fischer 344 rats were divided into three groups: the control group received a 0.30-ml dose of 0.9% physiological saline; the MNU group (chemical carcinogen N-methyl-N-nitrosourea) received 0.30 ml of MNU; and the MNU- citrate group received 0.30 ml of MNU plus sodium citrate, every one intravesically every other week for a total of 4 doses. After 15 weeks, bladder, ureters and renal pelvis were collected for morphological and molecular analysis. RESULTS: Associated management with MNU and sodium citrate was able to lead to 100% of both urinary bladder and upper urinary tract tumors, being the high-grade noninvasive papillary urothelial carcinoma the most frequent lesion. The upper urothelium showed reduced alpha-DG and increased MMP-9 and Ki-67 immunoreactivities in the MNU- citrate group in relation to the other groups. MNU group presented no upper urothelium tumor and 100% bladder tumor. CONCLUSIONS: This is a relevant evolution on experimental animal model for upper urinary tract carcinogenesis field. MMP-dependent disruption of the DG complex plays an important role in urothelial tumor carcinogenesis and showed the model applicability and significance. MNU- citrate model could contribute to a better understanding of human upper urothelial cancer development as well as to its local treatment strategies in a near future.
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Authors | Leonardo O Reis, Wagner J Fávaro, Ubirajara Ferreira, Athanase Billis, Mariana G Fazuoli, Valéria H A Cagnon |
Journal | World journal of urology
(World J Urol)
Vol. 28
Issue 4
Pg. 499-505
(Aug 2010)
ISSN: 1433-8726 [Electronic] Germany |
PMID | 20373103
(Publication Type: Journal Article)
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Chemical References |
- Alkylating Agents
- Citrates
- Sodium Citrate
- Methylnitrosourea
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Topics |
- Alkylating Agents
(toxicity)
- Animals
- Biopsy
- Citrates
(toxicity)
- Disease Models, Animal
- Female
- Kidney Medulla
(diagnostic imaging, pathology)
- Methylnitrosourea
(toxicity)
- Rats
- Rats, Inbred F344
- Sodium Citrate
- Ureter
(diagnostic imaging, pathology)
- Urinary Bladder
(diagnostic imaging, pathology)
- Urography
- Urologic Neoplasms
(chemically induced, diagnostic imaging, pathology)
- Urothelium
(diagnostic imaging, pathology)
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